Resource library

The always report and review list is a subset of adverse events that should be reported and reviewed in the same way as SAC 1 and 2 rated events, irrespective of whether or not there was harm to the consumer/patient.

This is the annual learning from adverse events report for 2017–18, published by the Health Quality & Safety Commission. The report covers adverse events reported by New Zealand's 20 district health boards (DHBs) and other providers.

This report alerts providers to key medication-related findings from the national primary care patient experience survey, and includes some recommendations for improvement.

This Open Book introduces the Learning Review, a process originally developed in the United States Forest Service.

This report alerts providers of the risk of hypoxic cardiac arrest during percutaneous tracheostomy. The aim is to learn from the event and establish a standard operating procedure to prevent future similar events.

This Open Book alerts providers to the key findings of a recent review of an incident where a patient suffered an extravasation injury that required skin grafts to repair.

This guide was developed to support clinicians to have conversations with patients about their COVID-19 diagnosis and what that might mean for them.

Report from Litmus on attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatres.

Brochure for patients to explain the various elements of the surgical safety checklist.

Presentation from Perioperative Harm Advisory Group clinical lead Mr Ian Civil – What is perioperative harm and how can we reduce it?